V09-02 THULIUM FIBER LASER FOR BLADDER LEIOMYOMA TREATMENT

Abstract

You have accessJournal of UrologyCME1 May 2022V09-02 THULIUM FIBER LASER FOR BLADDER LEIOMYOMA TREATMENT Alim Dymov, Evgeny Shpot, Alexandra Proskura, Roman Sukhanov, Vladimir Lekarev, Temirlan Karakotov, Yuliya Lee, and Leonid Rapoport Alim DymovAlim Dymov More articles by this author , Evgeny ShpotEvgeny Shpot More articles by this author , Alexandra ProskuraAlexandra Proskura More articles by this author , Roman SukhanovRoman Sukhanov More articles by this author , Vladimir LekarevVladimir Lekarev More articles by this author , Temirlan KarakotovTemirlan Karakotov More articles by this author , Yuliya LeeYuliya Lee More articles by this author , and Leonid RapoportLeonid Rapoport More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000002617.02AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Bladder leiomyomas are very rare, representing only 0.43% of all bladder tumors. Today the most common surgical treatment options for bladder leiomyoma are transurethral, open, laparoscopic and robotic resection. Due to very low incidence rate the assessment of efficacy and safety of different surgical techniques is yet to be done. We present a series of 6 cases of bladder leiomyoma treated with Thulium Fiber laser (TFL) en bloc resection. This report aims to investigate the feasibility, safety and efficacy of TFL en bloc resection for the treatment of bladder leiomyoma and to present our surgical technique. METHODS: From January 2019 up to present time 6 female patients with bladder leiomyoma (size 1.5 cm - 4.0 cm) underwent TFL en bloc resection. All surgeries were performed with regular laser resectoscope (Richard Wolf GmbH, Knittlingen, Germany; Karl Storz, Tuttlingen, Germany), 600 μm laser fiber and TFL («FiberLase» IRE-Polus, Russia) operating at wavelength 1.94 µm. Laser settings - 1 J, 10 Hz, 10 W. Two out of six resected tumors were morcellated, three were removed with a bipolar loop, and one 2 cm tumor was extracted with Allis clamp. Intra- and postoperative complications were evaluated. RESULTS: All tumors were resected as a whole. Mean operative time was 24 min (10 - 40 min). Mean catheter time was 28 hours (24 - 48 hrs), mean length of hospital stay was 76 hours (72 - 96 hrs). No bladder perforation, obturator nerve stimulation, significant bleeding and postoperative complications were recorded. Morphological examination of resected tissues confirmed leiomyoma. CONCLUSIONS: Based on our experience TFL en bloc resection is an effective and safe option for the surgical treatment of bladder leiomyoma. Moreover, it seems to provide fast recovery from the surgery. Source of Funding: None © 2022 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 207Issue Supplement 5May 2022Page: e805 Advertisement Copyright & Permissions© 2022 by American Urological Association Education and Research, Inc.MetricsAuthor Information Alim Dymov More articles by this author Evgeny Shpot More articles by this author Alexandra Proskura More articles by this author Roman Sukhanov More articles by this author Vladimir Lekarev More articles by this author Temirlan Karakotov More articles by this author Yuliya Lee More articles by this author Leonid Rapoport More articles by this author Expand All Advertisement PDF DownloadLoading ...